Agency Information Collection Activities: Proposed Collection; Comment Request, 3726-3727 [08-170]
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Federal Register / Vol. 73, No. 14 / Tuesday, January 22, 2008 / Notices
otherwise noted, these activities will be
conducted throughout the United States.
Each notice is available for inspection
at the Federal Reserve Bank indicated.
The notice also will be available for
inspection at the offices of the Board of
Governors. Interested persons may
express their views in writing on the
question whether the proposal complies
with the standards of section 4 of the
BHC Act. Additional information on all
bank holding companies may be
obtained from the National Information
Center website at www.ffiec.gov/nic/.
Unless otherwise noted, comments
regarding the applications must be
received at the Reserve Bank indicated
or the offices of the Board of Governors
not later than February 5, 2008.
A. Federal Reserve Bank of St. Louis
(Glenda Wilson, Community Affairs
Officer) 411 Locust Street, St. Louis,
Missouri 63166-2034:
1. Hancock Bancorp, Inc. Hawesville,
Kentucky; to acquire 100 percent of the
voting shares of Community First
Bancorp, Inc., Madisonville, Kentucky,
and thereby indirectly acquire
Community First Bank, Madisonville,
Kentucky, and engage in operating a
savings association pursuant to section
225.28(b)(4)(ii) of Regulation Y.
Board of Governors of the Federal Reserve
System, January 16, 2008.
Robert deV. Frierson,
Deputy Secretary of the Board.
[FR Doc. E8–976 Filed 1–18–08; 8:45 am]
Governors. Interested persons may
express their views in writing on the
question whether the proposal complies
with the standards of section 4 of the
BHC Act. Additional information on all
bank holding companies may be
obtained from the National Information
Center website at www.ffiec.gov/nic/.
Unless otherwise noted, comments
regarding the applications must be
received at the Reserve Bank indicated
or the offices of the Board of Governors
not later than February 15, 2008.
A. Federal Reserve Bank of St. Louis
(Glenda Wilson, Community Affairs
Officer) 411 Locust Street, St. Louis,
Missouri 63166-2034:
1. Hancock Bancorp, Inc. Hawesville,
Kentucky; to acquire 100 percent of the
voting shares of Community First
Bancorp, Inc., Madisonville, Kentucky,
and thereby indirectly acquire
Community First Bank, Madisonville,
Kentucky, and engage in operating a
savings association pursuant to section
225.28(b)(4)(ii) of Regulation Y.
Board of Governors of the Federal Reserve
System, January 16, 2008.
Robert deV. Frierson,
Deputy Secretary of the Board.
[FR Doc. E8–985 Filed 1–18–08; 8:45 am]
BILLING CODE 6210–01–S
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
BILLING CODE 6210–01–S
Agency for Healthcare Research and
Quality
FEDERAL RESERVE SYSTEM
Agency Information Collection
Activities: Proposed Collection;
Comment Request
sroberts on PROD1PC70 with NOTICES
Notice of Proposals to Engage in
Permissible Nonbanking Activities or
to Acquire Companies that are
Engaged in Permissible Nonbanking
Activities
The companies listed in this notice
have given notice under section 4 of the
Bank Holding Company Act (12 U.S.C.
1843) (BHC Act) and Regulation Y (12
CFR Part 225) to engage de novo, or to
acquire or control voting securities or
assets of a company, including the
companies listed below, that engages
either directly or through a subsidiary or
other company, in a nonbanking activity
that is listed in § 225.28 of Regulation Y
(12 CFR 225.28) or that the Board has
determined by Order to be closely
related to banking and permissible for
bank holding companies. Unless
otherwise noted, these activities will be
conducted throughout the United States.
Each notice is available for inspection
at the Federal Reserve Bank indicated.
The notice also will be available for
inspection at the offices of the Board of
VerDate Aug<31>2005
20:38 Jan 18, 2008
Jkt 214001
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
AGENCY:
SUMMARY: This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
information collection project:
‘‘Assessment of the Emergency Severity
Index (ESI).’’ In accordance with the
Paperwork Reduction Act of 1995,
Public Law 104–13 (44 U.S.C.
3506(c)(2)(A)), AHRQ invites the public
to comment on this proposed
information collection.
DATES: Comments on this notice must be
received by March 24, 2008.
ADDRESSES: Written comments should
be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@ahrq.hhs.gov.
Copies of the proposed collection
plans, data collection instruments, and
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Fmt 4703
Sfmt 4703
specific details on the estimated burden
can be obtained from the AHRQ Reports
Clearance Officer.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
e-mail at doris.lefkowitz@ahrq.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
‘‘Assessment of the Emergency Severity
Index (ESI)’’
AHRQ is proposing to examine uptake
and use of an emergency room triage
tool, the Emergency Severity Index
(ESI). The hospital emergency
department (ED) represents a critical
point in care delivery for patients across
the United States. Over the past decade,
however, the dramatic influx of patients
into EDs has seriously challenged the
ability of these departments to deliver
timely, quality, and safe emergency
health care services. Moreover, with
most emergency departments operating
at or over capacity it may prove difficult
for them to respond to the surge in
emergency room demand created by
natural and man-made disasters.
Development of increasingly refined
and validated triage methods is one
potential key to addressing
overcrowding by speeding up the care
delivery to the most acute ED patients
while helping hospitals assess, carefully
allocate and plan the amount of human
and other resources needed to care for
all patients.
In response to a need to standardize
the triage process and improve the flow
of patients, Richard C. Wuerz, M.D.,
(Department of Emergency Medicine at
the Brigham and Women’s Hospital and
the Harvard Medical School) and David
R. Eitel, M.D., (Department of
Emergency Medicine, The York Hospital
WellSpan Health System) initiated
development of the Emergency Severity
Index (ESI) in 1995. The ESI is unique
in its focus on appropriate resource
allocation and its consideration of
necessary resource utilization in
assigning acuity. To encourage adoption
of the ESI, AHRQ developed an
implementation handbook (Emergency
Severity Index, Version 4) and
companion DVDs. These materials are
intended to provide hospitals and triage
nurses with background on why they
might want to implement the ESI as a
triage tool, and offers recommendations
on the implementation process and staff
training.
This project will assess the product’s
acceptance by emergency departments
and others involved in addressing
medical surges to better understand the
usefulness of the ESI compared to other
E:\FR\FM\22JAN1.SGM
22JAN1
3727
Federal Register / Vol. 73, No. 14 / Tuesday, January 22, 2008 / Notices
similar tools. It will focus on the
satisfaction with the product’s
presentation, content, and clarity; extent
to which the product has improved
emergency services and surge
preparation; and the improvements
users would like to see in the next
version of this product. This will be
accomplished through (1) developing
and implementing an electronic and
paper-based survey targeting emergency
department professionals assessing the
satisfaction with the ESI’s content,
clarity and actual use of the system in
everyday emergency departments, and
(2) convening focus groups of ED
professionals to identify characteristics
that might predict uptake and use of this
system in participating emergency
departments.
Method of Collection
Survey: A randomly selected sample
of 600 ED professionals from the
database AHRQ maintains of
individuals and organizations that
requested a copy of the ESI tools will be
contacted to participate in the survey.
Where a phone number has been
provided, we will do a reverse
telephone number search to identify the
mailing address of the requestor and
conduct a mail survey with telephone
follow-up. For those who have provided
an e-mail address, we will send a link
to a web survey. Telephone and e-mail
prompts will be sent after two weeks to
those who have not yet completed the
questionnaire, followed by two
additional remainders sent three weeks
apart. The expected response rate of 80
percent will result in 480 respondents to
the survey with approximately half from
ED physicians and half from ED nurses.
Focus Groups: Focus groups will be
conducted to gauge ED managers’ and
clinicians’ awareness of the ESI tool as
well as AHRQ’s role in ED surge
planning and preparation. To the extent
that we are able to identify a subgroup
of ED representatives who are aware of
the ESI tool but have chosen not to
utilize it in their emergency
departments, focus groups may also be
useful to gather information on why
these organizations opted not to employ
the ESI. In order to facilitate
communication among focus group
participants and ensure that responses
address the key issues identified in the
focus group guide, we will limit
participation in each focus group
meeting to between six and eight
individuals. A total of four focus group
meetings will be held, including two
meetings each with ED medical
directors, and ED triage nurses.
Estimated Annual Respondent Burden
EXHIBIT 1.—ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Data collection effort
Number of
responses per
respondent
Hours per
response
Total burden
hours
ED professionals survey ..................................................................................
ED professionals focus groups ........................................................................
480
32
1
1
30/60
1.5
240
48
Total ..........................................................................................................
512
na
na
288
EXHIBIT 2.—ESTIMATED ANNUALIZED COST BURDEN
Number of
respondents
Data collection effort
Total burden
hours
Average
hourly wage
rate *
Total cost
burden
ED professionals survey ..................................................................................
ED professionals focus groups ........................................................................
480
32
240
48
$43.93
43.93
$10,544
2,109
Total ..........................................................................................................
512
288
na
12,653
* Based upon the mean of the average wages of ED physicians and nurses, National Compensation Survey: Occupational wages in the United
States 2006, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’
This information collection will not
impose a cost burden on respondents
beyond that associated with their time
to provide the required data. There will
be no additional costs for capital
equipment, software, computer services,
etc.
sroberts on PROD1PC70 with NOTICES
Estimated Annual Costs to the Federal
Government
Developing and implementing the
survey, $183,305.
Developing and conducting focus
groups, $69,669.
Analyzing the data and report
production, $26,172.
Associated personnel costs, $17,073.
The total cost to the government for
this activity is estimated to be $296,219.
VerDate Aug<31>2005
20:38 Jan 18, 2008
Jkt 214001
Request for Comments
In accordance with the above-cited
Paperwork Reduction Act legislation,
comments on AHRQ’s information
collection are requested with regard to
any of the following: (a) Whether the
proposed collection of information is
necessary for the proper performance of
AHRQ health care research and health
care information dissemination
functions, including whether the
information will have practical utility;
(b) the accuracy of AHRQ’s estimate of
burden (including hours and costs) of
the proposed collection(s) of
information; (c) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden of the
collection of information upon the
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Fmt 4703
Sfmt 4703
respondents, including the use of
automated collection techniques or
other forms of information technology.
Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for OMB approval of the
proposed information collection. All
comments will become a matter of
public record.
Dated: January 14, 2008.
Carolyn M. Clancy,
Director.
[FR Doc. 08–170 Filed 1–18–08; 8:45 am]
BILLING CODE 4160–90–M
E:\FR\FM\22JAN1.SGM
22JAN1
]]>Agencies
[Federal Register Volume 73, Number 14 (Tuesday, January 22, 2008)]
[Notices]
[Pages 3726-3727]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 08-170]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Agency for Healthcare Research and Quality, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice announces the intention of the Agency for
Healthcare Research and Quality (AHRQ) to request that the Office of
Management and Budget (OMB) approve the proposed information collection
project: ``Assessment of the Emergency Severity Index (ESI).'' In
accordance with the Paperwork Reduction Act of 1995, Public Law 104-13
(44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to comment on this
proposed information collection.
DATES: Comments on this notice must be received by March 24, 2008.
ADDRESSES: Written comments should be submitted to: Doris Lefkowitz,
Reports Clearance Officer, AHRQ, by e-mail at
doris.lefkowitz@ahrq.hhs.gov.
Copies of the proposed collection plans, data collection
instruments, and specific details on the estimated burden can be
obtained from the AHRQ Reports Clearance Officer.
FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427-1477, or by e-mail at
doris.lefkowitz@ahrq.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project
``Assessment of the Emergency Severity Index (ESI)''
AHRQ is proposing to examine uptake and use of an emergency room
triage tool, the Emergency Severity Index (ESI). The hospital emergency
department (ED) represents a critical point in care delivery for
patients across the United States. Over the past decade, however, the
dramatic influx of patients into EDs has seriously challenged the
ability of these departments to deliver timely, quality, and safe
emergency health care services. Moreover, with most emergency
departments operating at or over capacity it may prove difficult for
them to respond to the surge in emergency room demand created by
natural and man-made disasters. Development of increasingly refined and
validated triage methods is one potential key to addressing
overcrowding by speeding up the care delivery to the most acute ED
patients while helping hospitals assess, carefully allocate and plan
the amount of human and other resources needed to care for all
patients.
In response to a need to standardize the triage process and improve
the flow of patients, Richard C. Wuerz, M.D., (Department of Emergency
Medicine at the Brigham and Women's Hospital and the Harvard Medical
School) and David R. Eitel, M.D., (Department of Emergency Medicine,
The York Hospital WellSpan Health System) initiated development of the
Emergency Severity Index (ESI) in 1995. The ESI is unique in its focus
on appropriate resource allocation and its consideration of necessary
resource utilization in assigning acuity. To encourage adoption of the
ESI, AHRQ developed an implementation handbook (Emergency Severity
Index, Version 4) and companion DVDs. These materials are intended to
provide hospitals and triage nurses with background on why they might
want to implement the ESI as a triage tool, and offers recommendations
on the implementation process and staff training.
This project will assess the product's acceptance by emergency
departments and others involved in addressing medical surges to better
understand the usefulness of the ESI compared to other
[[Page 3727]]
similar tools. It will focus on the satisfaction with the product's
presentation, content, and clarity; extent to which the product has
improved emergency services and surge preparation; and the improvements
users would like to see in the next version of this product. This will
be accomplished through (1) developing and implementing an electronic
and paper-based survey targeting emergency department professionals
assessing the satisfaction with the ESI's content, clarity and actual
use of the system in everyday emergency departments, and (2) convening
focus groups of ED professionals to identify characteristics that might
predict uptake and use of this system in participating emergency
departments.
Method of Collection
Survey: A randomly selected sample of 600 ED professionals from the
database AHRQ maintains of individuals and organizations that requested
a copy of the ESI tools will be contacted to participate in the survey.
Where a phone number has been provided, we will do a reverse telephone
number search to identify the mailing address of the requestor and
conduct a mail survey with telephone follow-up. For those who have
provided an e-mail address, we will send a link to a web survey.
Telephone and e-mail prompts will be sent after two weeks to those who
have not yet completed the questionnaire, followed by two additional
remainders sent three weeks apart. The expected response rate of 80
percent will result in 480 respondents to the survey with approximately
half from ED physicians and half from ED nurses.
Focus Groups: Focus groups will be conducted to gauge ED managers'
and clinicians' awareness of the ESI tool as well as AHRQ's role in ED
surge planning and preparation. To the extent that we are able to
identify a subgroup of ED representatives who are aware of the ESI tool
but have chosen not to utilize it in their emergency departments, focus
groups may also be useful to gather information on why these
organizations opted not to employ the ESI. In order to facilitate
communication among focus group participants and ensure that responses
address the key issues identified in the focus group guide, we will
limit participation in each focus group meeting to between six and
eight individuals. A total of four focus group meetings will be held,
including two meetings each with ED medical directors, and ED triage
nurses.
Estimated Annual Respondent Burden
Exhibit 1.--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of
Data collection effort Number of responses per Hours per Total burden
respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
ED professionals survey......................... 480 1 30/60 240
ED professionals focus groups................... 32 1 1.5 48
---------------------------------------------------------------
Total....................................... 512 na na 288
----------------------------------------------------------------------------------------------------------------
Exhibit 2.--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
Average
Data collection effort Number of Total burden hourly wage Total cost
respondents hours rate * burden
----------------------------------------------------------------------------------------------------------------
ED professionals survey......................... 480 240 $43.93 $10,544
ED professionals focus groups................... 32 48 43.93 2,109
---------------------------------------------------------------
Total....................................... 512 288 na 12,653
----------------------------------------------------------------------------------------------------------------
* Based upon the mean of the average wages of ED physicians and nurses, National Compensation Survey:
Occupational wages in the United States 2006, ``U.S. Department of Labor, Bureau of Labor Statistics.''
This information collection will not impose a cost burden on
respondents beyond that associated with their time to provide the
required data. There will be no additional costs for capital equipment,
software, computer services, etc.
Estimated Annual Costs to the Federal Government
Developing and implementing the survey, $183,305.
Developing and conducting focus groups, $69,669.
Analyzing the data and report production, $26,172.
Associated personnel costs, $17,073.
The total cost to the government for this activity is estimated to
be $296,219.
Request for Comments
In accordance with the above-cited Paperwork Reduction Act
legislation, comments on AHRQ's information collection are requested
with regard to any of the following: (a) Whether the proposed
collection of information is necessary for the proper performance of
AHRQ health care research and health care information dissemination
functions, including whether the information will have practical
utility; (b) the accuracy of AHRQ's estimate of burden (including hours
and costs) of the proposed collection(s) of information; (c) ways to
enhance the quality, utility, and clarity of the information to be
collected; and (d) ways to minimize the burden of the collection of
information upon the respondents, including the use of automated
collection techniques or other forms of information technology.
Comments submitted in response to this notice will be summarized
and included in the Agency's subsequent request for OMB approval of the
proposed information collection. All comments will become a matter of
public record.
Dated: January 14, 2008.
Carolyn M. Clancy,
Director.
[FR Doc. 08-170 Filed 1-18-08; 8:45 am]
BILLING CODE 4160-90-M
